Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Lyle Martin, MD

Individual provider Internal Medicine Physician · NPI 1902875016

Dr. Kenneth Lyle Martin, MD is an Internal Medicine in Tigard, Oregon. Graduated from University of Washington School of Medicine in 1972, 54 years ago. Practices with Legacy Meridian Park Hospital, a 110-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
54
Trained at
University of Washington School of Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15298 SW Royalty Pkwy
Tigard, OR 97224-3904
Phone: (503) 620-0721
Fax: (503) 968-1181
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 10582 (OR)

Record details

NPI number1902875016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESFebruary 14, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1972 (54 years in practice)
Group practice Legacy Meridian Park Hospital — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tigard